A. Todd Smith, DDS PA

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

3596 Issued in NC

Legal business name

A. TODD SMITH, DDS PA

Practice address

1601 South Hawthorne Road
Winston Salem, NC 27103-4127

Phone

(336) 765-9550

Fax

(336) 765-9552

NPI assigned

Mar 1, 2006

Last updated

Mar 19, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

A Todd Smith, DDS

Title

Oral Surgeon

Phone

(336) 765-9550

Specialties & licenses 3

Addresses

Other identifiers 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marten W Quadland, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Winston Salem, NC
  • NPI 1932297272
  NPD (past)
• Bradly Kalb Russell, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Winston Salem, NC
  • NPI 1932490307

  Single Specialty

  NPD (past)
• Bradford C Shinaman, D.D.S.,PA

  • General Practice Dentistry
  • North Wilkesboro, NC
  • NPI 1578612701
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1275500167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SOUTH HAWTHORNE ROAD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034127",
            "telephone_number": "336-765-9550",
            "fax_number": "336-765-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SOUTH HAWTHORNE ROAD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034127",
            "telephone_number": "336-765-9550",
            "fax_number": "336-765-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. TODD SMITH, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "336-765-9550",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "5848",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "4949",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "3596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997869",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7997761",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oral & Maxillofacial Surgery (D.M.D.) in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.